Reliability and validity of the self-efficacy and outcome expectations for osteoporosis medication adherence scales

Orthop Nurs. 2003 Mar-Apr;22(2):139-47. doi: 10.1097/00006416-200303000-00012.

Abstract

Purpose: The purpose of this study was to test the reliability and validity of the self-efficacy and outcome expectations for osteoporosis medication adherence measures (SEOMA and OEOMA).

Design: This was a descriptive study involving a single face-to-face interview.

Sample: The study included 152 older adults with a mean age of 85.7 (+) 5.5 years, the majority of whom were Caucasian (99%), female (74%), and unmarried (75%).

Methods: In addition to the SEOMA and OEOMA measures, demographic information (age, gender, and marital status) and other health behaviors (exercise and osteoporosis medication use) were explored.

Results: There was evidence of reliability of the SEOMA and OEOMA based on internal consistency and R values. Evidence of the validity of the SEOMA and OEOMA measures was based on confirmatory factor analysis and hypothesis testing.

Conclusion: This study is an important first step to developing reliable and valid measures of self-efficacy and outcome expectations for adherence to osteoporosis medications.

Implications for nursing practice: The SEOMA and OEOMA can be used to evaluate self-efficacy and outcome expectancy beliefs related to osteoporosis medication use in older adults and interventions developed to strengthen those beliefs and improve medication adherence.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Factor Analysis, Statistical
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Models, Psychological
  • Nursing Assessment / methods*
  • Nursing Assessment / standards
  • Nursing Evaluation Research
  • Osteoporosis / drug therapy*
  • Osteoporosis / psychology*
  • Patient Compliance / psychology*
  • Regression Analysis
  • Self Efficacy*
  • Surveys and Questionnaires / standards*